National Provider Identifier [NPI]: |
1518922814 |
Last Name Of The Provider |
TRUONG |
First Name Of The Provider |
QUOC |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
818 N ENMPORIA |
Street Address 2 Of The Provider |
SUITE 403 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672143728 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
150 |
Number Of Services |
83010 |
Number Of Medicare Beneficiaries |
538 |
Total Submitted Charge Amount |
2688898.8 |
Total Medicare Allowed Amount |
1257205.96 |
Total Medicare Payment Amount |
964541.71 |
Total Medicare Standardized Payment Amount |
969695.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
75 |
Number Of Drug Services |
78160 |
Number Of Medicare Beneficiaries With Drug Services |
258 |
Total Drug Submitted ChargeAmount |
2165189.8 |
Total Drug Medicare AllowedAmount |
1001465.38 |
Total Drug Medicare PaymentAmount |
765871.77 |
Total Drug Medicare Standardized Payment Amount |
765871.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
4850 |
Number Of Medicare Beneficiaries With Medical Services |
538 |
Total Medical Submitted Charge Amount |
523709 |
Total Medical Medicare Allowed Amount |
255740.58 |
Total Medical Medicare Payment Amount |
198669.94 |
Total Medical Medicare Standardized Payment Amount |
203824.07 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
201 |
Number Of Beneficiaries Age 75 to 84 |
196 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
296 |
Number Of Male Beneficiaries |
242 |
Number Of Non Hispanic White Beneficiaries |
475 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
454 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
47 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.9213 |